Dental Corporation of Kyle Poulsen

NPI #1467141804 in Winchester, California

Provider Information

NPI Number: 1467141804
Entity Type: Organization
Organization Name: Dental Corporation of Kyle Poulsen
Primary Specialty: Dentist
Enumeration Date: May 2, 2023
Last Updated: May 2, 2023

Practice Location

Address: 32897 WESTERN HILLS DR
Address 2: SUITE 103
City: Winchester
State: California
ZIP Code: 92596
Phone: (951) 335-5169

Authorized Official

Name: KEVIN POULSON, DDS
Title: OWNER
Phone: (951) 335-5169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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